Polsky, Daniel
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Publication Show Me the Money: Economic Evaluations of Opioid Use Disorder Interventions(2016-05-25) Murphy, Sean; Polsky, Daniel; Meisel, Zachary; Mitchell, JuliaThis brief summarizes a new systematic review of economic evaluations of treatments for substance use disorders. The review reveals strong evidence that methadone maintenance therapy is an economically advantageous form of treatment; the economic evidence for buprenorphine and naltrexone treatments is more limited.Publication How the Newly Insured Use Health Services: a Lesson for the U.S. from Medicare(2012-02-01) Polsky, DanielThe Congressional Budget Office estimates that about 32 million previously uninsured people will gain coverage by 2016, when health care reforms are fully implemented. But will these newly insured people use the health care system in the same ways as others? Is insurance enough to change patterns of use? The example of Medicare may provide some insight. This Issue Brief summarizes research that investigates how health care use and patterns change among the uninsured and insured once they gain Medicare coverage at age 65.Publication Marketplace Plans With Narrow Physician Networks Feature Lower Monthly Premiums Than Plans With Larger Networks(2016-10-04) Polsky, Daniel; Cidav, Zuleyha; Swanson, AshleyKey Findings: Narrow network plans on the health insurance marketplaces allow consumers to trade-off lower premiums for a more restricted choice of providers. This study finds that, all else being equal, an individual consumer is saving 6.7 percent of premiums, or between $212 and $339 a year, on a typical plan.Publication Changes in Consumer Demand Following Public Reporting of Summary Quality Ratings: An Evaluation in Nursing Homes(2016-02-16) Werner, Rachel M; Konetzka, R Tamara; Polsky, DanielA nursing home report card that converted 12 measures of quality into a simple 5-star system significantly affected consumer demand for low- and high-scoring facilities. One-star facilities typically lost 8 percent of their market share and 5-star facilities gained more than 6 percent of their market share. These results support the use of summary measures in report cards.Publication How Managed Care Growth Affects Where Physicians Locate Their Practices(2000-11-14) Polsky, Daniel; Escarce, Jose JManaged care has had a profound effect on physician practice. It has altered patterns in the use of physician services, and consequently, the practice and employment options available to physicians. But managed care growth has not been uniform across the United States, and has spawned wide geographic disparities in earning opportunities for generalists and specialists. This Issue Brief summarizes new information on how managed care has affected physicians’ labor market decisions and the impact of managed care on the number and distribution of physicians across the country.Publication Final Enrollment Rates Show Federally run Marketplaces Make up Lost Ground at end of Enrollment(2014-05-29) Polsky, Daniel; Weiner, Janet; Colameco, Christopher; Becker, Nora VerlaineThis new data brief updates our interim March 2014 findings with enrollment rates at the close of the Affordable Care Act's first open enrollment period. It focuses on enrollment rates by state and type of marketplace, and assesses changes in enrollment rates in the final six weeks. The final enrollment figures reveal that the federally facilitated marketplaces and some of the troubled state-based ones made up some ground in the last four to six weeks of the open enrollment period.Publication Health Insurance Marketplace Enrollment Rates by Type of Exchange(2014-03-28) Polsky, Daniel; Weiner, Janet; Colameco, Christopher; Becker, Nora VerlaineBecause the ACA gave them choices in how to implement insurance coverage, health reform looks different state to state. This Data Brief examines a number of choices related to the establishment and running of the new health insurance marketplaces, and their potential impact on enrollment rates to date. We use existing data sources as well as a new database developed by researchers at the University of Pennsylvania that documents and codes state-level variation in the political setting, institutional structures, and operational decisions likely to affect outcomes on the marketplaces.Publication The Skinny on Narrow Networks in Health Insurance Marketplace Plans(2015-06-23) Polsky, Daniel; Weiner, JanetThe Affordable Care Act (ACA) has prompted health plans to increase their use of “narrow networks” of providers as a cost containment strategy. The Leonard Davis Institute of Health Economics (LDI) has assembled the first integrated dataset of physician networks for the plans offered on the ACA marketplace. This data brief uses this new resource to describe the breadth of the physician networks in plans sold on the state and federal marketplaces. The percent of physician networks that were classified as small or x-small came to 41% overall, 55% for HMO networks, and 25% for PPO networks.Publication What Window Shopping the Health Insurance Exchanges in Year Two Revealed about the State of the Consumer Experience(2015-03-01) Polsky, Daniel; Howard, HeatherSoon after the launch of HealthCare.gov, the exchange websites that formed the vanguard of the Affordable Care Act quickly became notorious for numerous bugs, crashes, and painfully slow loading times. Over a year later, the portals have reached a sufficient level of stability and core functionality on the back end. But what about the front end?Publication Pediatric and Adult Physician Networks in Affordable Care Act Marketplace Plans(2017-03-16) Wong, Charlene A; Cidav, Zuleyha; Kan, Kristin; Polsky, Daniel; Nathenson, Robert
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